| NPI | 1669935706 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: FL 155636) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: FL ME155636) |
| 207R00000X Internal Medicine (Licence: FL 155636) | |
| Enumeration Date | 2019-04-06 |
| Last Update Date | 2025-02-05 |